Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: Sibirsky on April 07, 2017, 08:52:04 AM

Title: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 07, 2017, 08:52:04 AM
Greetings to all. After much contemplation, I have decided to post my experience undergoing limb lengthening.

The reason why I've held back starting this thread was....well actually there are several reasons. Firstly, temporal factors; writing diaries take a lot of one's time which could be very much be spent doing myriad other things. Which is why I have the utmost respect for the veterans like Stripes, RGKey, Sweden etc. who have spent a significant amount of their time recovering to share their experiences with prospective LLers. With this in my mind, readers are kindly reminded not to be demanding; I'm doing this as a way to contribute back to the community, from which I managed to plan my journey and from which I have learnt so much.

Back to temporal factors, since I generally don't have much time (I'm hustling for online jobs currently) I won't be posting much of a diary. I will be answering questions related to my journey. So instead of me telling you A-Z about my journey, the community can ask questions which are relevant to them. I'd rather do this AM(a)A here instead of Reddit as I wouldn't be subjected to criticism from the r/short community.

Secondly, I was apprehensive about writing this diary for fear of derailment by the several "colourful" characters on this forum (i.e. doctor-fanboys, trolls, non-veterans-who-pretend-to-be-experts). Though I am sure that these users are a small minority and should not be representative of the community as a whole.

In this post, I'll be giving bits and pieces of my journey chronologically. It is a time consuming process, but I assure you I will be finishing the story :) I will be happy to answer questions for more details, except regarding the identity of my doctor; he would prefer not to have to entertain too many cosmetic limb lengtheners and he is not listed on this forum, hence is why I have titled this thread an Ask Me (almost) Anything

So with all that being said, lets begin with some details


Initial height at night : 176 cm
Age: 24
Lengthening method used:LATN on tibias bilaterally
Day of operation : 29 Dec 2016
Day of frame removal and nailing: 1 March 2017
Height gained: 8.0 cm
Final height: 184 cm

As you can see, I wasn't to short to begin with but undoubtedly I fully understood that being a tall man, you would have many benefits compared to being an average-height or short man especially from a social standpoint.

So where do we begin? I suppose we should start with the research process, which I highly recommend none of you to go through hastily. I was in college during the time I began research in 2013 but I have since graduated. I managed to save close to USD 10,000 at the time. With this in mind, I was certain I could get about USD 5000 more within 3 years to end up with a budget of USD 15000 and thus, be able to do the surgery in 2013.

With that budget, certainly the US and European doctors, as well as internal methods would be all but ruled out. This basically left me to consider India, China and Russia for the surgery, with the prospects of doing and external frames + internal nails being the most likely choice. In short, China= language barriers, India= English-speaking, but was concerned with the quality of care being sub-par, so eventually I settled with Russia as I am a speak Russian and it did seem an it safer than India

I managed to get hold of a reputable doctor through a Russian forum. He was willing to perform LATN for around what was USD 12,000 at the time in Vladivostok, Russia. With that I managed to plan 3-months of lengthening and 3 months after that for consolidation which is where I am now

15th Dec 2016-Arrival Day
Arrived in Vladivostok, called the Doctor as I arrived, who told me the address of the hospital. I hopped into a cab which brought me there. Had my first consultation which lasted just about 30 mins. Discussed about benefits of LON( cheaper, 1 major surgery + 1 minor frame removal surgery, no corrections possible at all) vs LATN (more expensive, 2 major surgeries, correction can be done before nailing) Eventually I settled for LATN and the surgery was scheduled a week later.

20th December- Bad News
I was told the the surgery would have to be postponed to the next week due to certain difficulties in staffing. This put a dent in my planning as I would only have 2 and a half months in Russia for lengthening (my initial goal was 5 cm btw). Nevertheless, I had faith things would be okay


29th December - Day 0: The Big Break(s)
I went to the hospital in the morning as there was thankfully no postponing of the surgery.
Given a room which was decent, it had a a TV, closet and a bed and was clean.
Surgery was in the evening, during which I was given spinal epidural and was put to sleep

Woke up at night, drowsy and dazed. Legs were cold, no pain at all. Just really cold and I wasn't able to move them. But when I touched them they were really warm and they were swelling. I was given a spinal painkiller which relieved some of the pain. Some of the pain...for a while.

Later that night at about 2 am, I woke up. Then I felt it. The pain. It felt  like my feet had been hit by a sledgehammer, with insects biting into me. Why weren't the painkillers working??? I called the nurse, who said she could increase the dosage slightly (which didn't work) but for a more potent painkiller I'd have to wait for the Doctor the next morning. She then left, leaving me with a thought still have to this day : What have I done?

Day 1-7: Bedridden

It was just the first 3 days where my leg hurt really, really badly, the latter 2 days being less painful as I had better painkillers than before.

Overall, I spent my days there staring at either my tablet screen or the ceiling; I was bedridden. I peed in through a catheter  and (strangely) never went to the toilet for number 2. Probably this was because I hated the food so bad , I only drank soup (more about this in tips)

The doctor taught me how to turn the nuts on the rods for lengthening on the 6th day in hospital. On the next day once the pain had subsided and my condition was stable, I was discharged. I stayed in a wheelchair-friendly apartment building (a rarity in these parts) just next to the hospital. I was told to come for X-rays once every two weeks.

And so it begins......
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Bander72 on April 07, 2017, 09:21:16 AM
Congrats on your success. I had a couple of questions. It seems that you gained a lot of height in about two months. How much were you lengthening a day? Did it seem easier at first to lengthen bigger amounts? I want to do 4 cm if I do externals so I was thinking of doing a bit over a mm to get distraction done quicker. Do you mind sharing which doctor you had the procedure with?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: IwannaBeTaller on April 07, 2017, 10:25:23 AM
What were your motivations for doing it? Were you depressed about your height, did you have an inferiority complex? Or was the goal of having the social benefits of being taller your only reason, seeing as you must have known the possible lifelong consequences of doing such a procedure beforehand? I'm not criticizing you, just looking for an honest answer.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: doomsday on April 07, 2017, 01:36:37 PM
Great decision to do LATN rather than LON. Could you walk during the lengthening process?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 08, 2017, 11:08:43 AM
Congrats on your success. I had a couple of questions. It seems that you gained a lot of height in about two months. How much were you lengthening a day? Did it seem easier at first to lengthen bigger amounts? I want to do 4 cm if I do externals so I was thinking of doing a bit over a mm to get distraction done quicker. Do you mind sharing which doctor you had the procedure with?


I was lengthening 1.0 mm a day until I reached 1 cm. Then I turned between 1.5 mm to 2.0 mm a day. It actually wasn't painful to lengthen at this rate for me. But trust me, no one is the same so I wouldn't suggest that you plan your surgery as a whole based on rates higher than 1.0 mm. Also I developed knee contractures on both sides as a result of this, but have since gained full ROM. Slight ballerina at around 10 degrees on both sides, by my physio is confident it should go down to 0 in less than 2 weeks

Again, regarding the doctor, the he performed the surgery for me because conincidentally he was an old friend of my dad, who asked him to perform it as a favour. He is NOT very experienced nor keen on doing cosmetic limb lengthening, but does it for deformities and traumatic injuries. He He explicitly told me not to reveal any info about him when I told him I wanted to write a diary about my experience. So in due respect of his wishes, sorry, I can't.

Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 08, 2017, 11:24:21 AM
What were your motivations for doing it? Were you depressed about your height, did you have an inferiority complex? Or was the goal of having the social benefits of being taller your only reason, seeing as you must have known the possible lifelong consequences of doing such a procedure beforehand? I'm not criticizing you, just looking for an honest answer.

Good question. I think that anyone eager to do this surgery should deeply reflect on their motivations for doing it. Lack of motivation after you break your legs could lead you to not have good outcomes because you can't push yourself through the pain, physio, and immobility

In my case, nope,  I wasn't depressed about my height. I was considered average height in my country at 176 cm, even in the younger generation. Though in short, if a short man becomes average via this surgery, he would have liberated himself from the discrimination of being short, be it from women or other men. For an average-height man becoming tall the same way, he brings onto himself many social benefits i.e. naturally having an aura of dominance over shorter men, making women safer to be around with. No one can deny this.

Lower physical strength to run may or may not be a long term consequence, it may get better with time depending on many factors. Either way, I didn't play much sports or went to the gym to begin with, so I don't think it's too big of a deal

I think that a lifelong consequence would be the change in the natural biomechanics of walking; the femur is naturally longer than the tibia marginally, and this procedures disrupts this balance.

So I suppose yes, I did consider these beforehand, but it's too early to speculate how long it would take to recover to a satisfactory level.
Title: 8.0 cm LATN on tibias: AM(a)A
Post by: Sibirsky on April 08, 2017, 11:28:56 AM
Great decision to do LATN rather than LON. Could you walk during the lengthening process?

I did walk between 0 to 5.5 cm for about an hour a day spread out twice to three times a day. The external frames were sturdy and I didn't feel like there was any pin bending or instability. What stopped me were the knee contractures, I felt unstable and was afraid I would fall. So I stopped walking, and am still not walking. Good news is I should be in crutches by May.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 08, 2017, 12:13:45 PM
Day 7: Home Alone

The doctor escorted me to my apartment. When we arrived, we talked about how to get around and groceries. Apparently in Russia, you can just stay in your own home and order groceries to be delivered by the supermarket chain. Wish my country had such a service. Anyway, this made the process much simpler and minimised the costs as it meant I didn't need to hire an assistant.

He then taught me a a set of stretches which he recommended that I do once every time I turned. So if I turned  4 times for 1.0 mm, I'd have to do 4 sets a day.

After a good 45 minutes talking, the kind doctor bid his goodbyes and left. And there I lay in my bed for what would be a lonely time ahead.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: IwannaBeTaller on April 08, 2017, 10:24:24 PM
Good question. I think that anyone eager to do this surgery should deeply reflect on their motivations for doing it. Lack of motivation after you break your legs could lead you to not have good outcomes because you can't push yourself through the pain, physio, and immobility

In my case, nope,  I wasn't depressed about my height. I was considered average height in my country at 176 cm, even in the younger generation. Though in short, if a short man becomes average via this surgery, he would have liberated himself from the discrimination of being short, be it from women or other men. For an average-height man becoming tall the same way, he brings onto himself many social benefits i.e. naturally having an aura of dominance over shorter men, making women safer to be around with. No one can deny this.

Lower physical strength to run may or may not be a long term consequence, it may get better with time depending on many factors. Either way, I didn't play much sports or went to the gym to begin with, so I don't think it's too big of a deal

I think that a lifelong consequence would be the change in the natural biomechanics of walking; the femur is naturally longer than the tibia marginally, and this procedures disrupts this balance.

So I suppose yes, I did consider these beforehand, but it's too early to speculate how long it would take to recover to a satisfactory level.

One user here (Sweden) lengthened less on his tibias than you did and he regrets his choice, he says he won't ever again be able to perform on the same athletic level, can't excercise without days of pain, can't really run despite 3 years of recovery. Just to put that into perspective of the risks you take. How long did you take to make the choice of having the surgery? What did you friends and family say about it?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Body Builder on April 09, 2017, 02:18:47 AM
8cm are too much on tibias and it is for sure that the mechanics of the body won't be the same as before the tibia is way too longer than it used to.
At 1.76 initial height you should have stopped at 6cm max because you would have been tall with a small impact on your sport capabilities which are now much decreased for no real reason.

That said, Sweden has big problems with bone misalignment and thats the main reason for his problems that won't be improved if he doesn't do a new surgery to fix it, not the lengthened height.

So if you are lucky and everything went fine  I think that you'll live completely normal but with worse sport cababilities compared to a more sensible lengthening.
But it was your choice and I respect that.

Keep strong!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Big Daddy on April 09, 2017, 02:51:55 AM
Good question. I think that anyone eager to do this surgery should deeply reflect on their motivations for doing it. Lack of motivation after you break your legs could lead you to not have good outcomes because you can't push yourself through the pain, physio, and immobility

In my case, nope,  I wasn't depressed about my height. I was considered average height in my country at 176 cm, even in the younger generation. Though in short, if a short man becomes average via this surgery, he would have liberated himself from the discrimination of being short, be it from women or other men. For an average-height man becoming tall the same way, he brings onto himself many social benefits i.e. naturally having an aura of dominance over shorter men, making women safer to be around with. No one can deny this.

Lower physical strength to run may or may not be a long term consequence, it may get better with time depending on many factors. Either way, I didn't play much sports or went to the gym to begin with, so I don't think it's too big of a deal

I think that a lifelong consequence would be the change in the natural biomechanics of walking; the femur is naturally longer than the tibia marginally, and this procedures disrupts this balance.

So I suppose yes, I did consider these beforehand, but it's too early to speculate how long it would take to recover to a satisfactory level.

Let's see how much of an "aura of dominance" you have over other guys when you're walking around like a total gimp and look like ass in any physical contact. You must be a real genius XD
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: LLSouthAmerica on April 09, 2017, 09:40:55 AM
For all the guys out there: this is a really dangerous surgery. Very imprecise with a lot of minor and major complications. Do not have unrealistic goals specially if you are already tall as in more than 1.75. If your ambition is too much. Lengthen 4-6 in femur and 4- 5 in tibia. Not more. Don fk up your life for vanity.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Auron on April 09, 2017, 10:08:53 AM
May I know why you changed your initial goal of 5cm to 8cm?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: vincenzocal on April 09, 2017, 11:12:06 AM
this whole story is scary, he said he got LL from an *inexperienced* doc who allowed him

- to lengthen 2 mm per day
- to lengthen 8 cm

my only request is to keep updating this journal for up to years after so we can see if irreparable damage has indeed occured
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 09, 2017, 12:02:54 PM
One user here (Sweden) lengthened less on his tibias than you did and he regrets his choice, he says he won't ever again be able to perform on the same athletic level, can't excercise without days of pain, can't really run despite 3 years of recovery. Just to put that into perspective of the risks you take. How long did you take to make the choice of having the surgery? What did you friends and family say about it?

I would say it took me about 2 years to decide on doing it as I was collecting money. The thing was I didn't have that much to lose. I know many users on this forum spend a great deal doing sports and going to the gym; they would have a lot to lose in terms of athleticism should they choose to do this surgery. In my case, I just wasn't the sporty type

My family in short didn't agree with my decision but accepted. They probably didn't feel comfortable with me having to go through all the pain and temporary disability, but they did understand why. I was as tall as my sister to begin with, while my brothers were 183 and 188 cm, so I guess they would understand why I would feel like the runt of the litter, having to settle for the short end of the stick genetically
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 09, 2017, 12:20:37 PM
8cm are too much on tibias and it is for sure that the mechanics of the body won't be the same as before the tibia is way too longer than it used to.
At 1.76 initial height you should have stopped at 6cm max because you would have been tall with a small impact on your sport capabilities which are now much decreased for no real reason.

That said, Sweden has big problems with bone misalignment and thats the main reason for his problems that won't be improved if he doesn't do a new surgery to fix it, not the lengthened height.

So if you are lucky and everything went fine  I think that you'll live completely normal but with worse sport cababilities compared to a more sensible lengthening.
But it was your choice and I respect that.

Keep strong!

Thanks a lot for the support BodyBuilder ;D All the best to your recovery as well

I'd have to disagree though with the general notion of "max lengthening should be X number of cm, on tibias and  Z number of cm on femurs...bla bla". I have consulted several orthopaedists before and after my journey and read abit of journals regarding this. And I think we should look at it in terms of RELATIVE length; relative to your initial bone lengths

The general consensus from the professionals( or at least the ones I've consulted) is that you can lengthen 10% of the initial length without complications, more than that there may be minor complications up until you reach more than 20%, more than 20% and you risk serious complications. So since the average tibia is 43 cm long the true "safe value" is closer to 4cm, and between 4 to 8cm is possible with minor problems

I can attest to this. I had no problems between 0 to 5 cm and after 5 rapidly developed the knee contracture. I probably would also have had bad ballerina if I hadn't worn my ankle splints 24/7, dodged that bullet *phew*. At it's worse, my knee contracture was at 45 degrees when I trained to make them as straight as possible. Also started having tingling after 6cm.

Nevertheless, the contractures have subsided significantly. My knees are both at the initial 0 degrees while my ankles are at about 10 and decreasing everyday with my physio therapy. To those who wish to understand comprehensively the complications of this surgery, I would suggest you read this study meticulously, as opposed to solely listening to the advice from fear-mongerers on the forum.

http://www.sciencedirect.com/science/article/pii/S187705681200151X

Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 09, 2017, 12:27:12 PM
For all the guys out there: this is a really dangerous surgery. Very imprecise with a lot of minor and major complications. Do not have unrealistic goals specially if you are already tall as in more than 1.75. If your ambition is too much. Lengthen 4-6 in femur and 4- 5 in tibia. Not more. Don fk up your life for vanity.

Very true. One would have to deeply consider all the risks and potential benefits of the few cms of height before embarking on this journey

The sad truth is that the taller your initial height, the more your body can tolerate the lengthening without developing complications. So paradoxically, the shorter you are, the more you would 'need' the surgery, yet the harder it would be compared to a taller person. Sad, but that's the reality guys...


Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Big Daddy on April 09, 2017, 12:33:51 PM
All that needs to be said here:

http://www.youtube.com/watch?v=2YYNPnql9YI
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 09, 2017, 12:34:19 PM
May I know why you changed your initial goal of 5cm to 8cm?

Good question. My main plan was a generally agreed upon 'safe' plan: 5cm on tibias and 7 cm on femurs. That would put at about 188 cm, as tall as my brother. But I realised that that I would be spending a total of 1-2 years in either crutches or a wheelchair; it would just be far too long, not to mention the cost of internal femurs :-X. So I decided to push myself for that extra 3 cm and reach a respectable 184 cm and not go through such a long time of my life recovering. I was a gymnast throughout my schooling years, I'm very flexible for a guy so I was quite sure my body could take more than the average person
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 09, 2017, 12:39:40 PM
this whole story is scary, he said he got LL from an *inexperienced* doc who allowed him

- to lengthen 2 mm per day
- to lengthen 8 cm

my only request is to keep updating this journal for up to years after so we can see if irreparable damage has indeed occured

With regards to my doctor, I said he wasn't experienced with COSMETIC limb lengthening; he deals with lengthening for deformity regularly. Hes  actually a professor of orthopaedics in Vladivostok so I had full confidence in him. And actually if any of you have been reading medical journals, you would realise that 1.0 mm a day is the gold standard of lengthening, but but bones like the femur with good vascularity can go as high as 3.0 mm a day without serious bone issues. But then there are muscle contractures.....
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on April 09, 2017, 01:02:57 PM
Day 8: Settling into the nest

My grocery delivery arrived. I feel that my diet may have had a huge influence on my good bone regeneration. For an estimated 80 days stay, I bought 70 litre of milk and 300 eggs. Two people had to carry my groceries to the apartment, but I suppose they weren't mad or anything since I was visibly crippled. Also they were nice enough to entertain my request to help move some furniture nearer to the bed. So my diet varied daily, but I would drink a carton of 1 litre milk a with about 4 eggs daily during meals. That would provide ample calcium and protein for the bones and tissues

Daily routine was walking for about 20-30 mins twice a day with a set of physio done 4 times, once for each of the 4 turns of the rod. Other than that it was actually a pretty unremarkable stage in the journey. I regretted not having bought a PS4 or brought some books cause damn, was it depressingly boring. I did have a TV though, but it took time to get used to the Russian shows. I preferred watching the Russian-dubbed Hollywood movies, it's quite interesting rewatching movies in Russian

Day 14

Had my first X-Rays. Doctor said my my bone regeneration was 'excellent'. So 'excellent' he was worried about preconsolidation. He recommended that I increase the rate to 1.25 mm a day, with special attention to any changes in ROM and nerve sensations. And so I stepped up the lengthening to 1.25 mm a day from then on

I actually was concerned why I WASNT feeling pain. I read most veterans in their diaries complained of at least some form of pain or aching. Well, I suppose time would tell whether or not this was going to be a difficult process. With all that boredom, I actually was looking forward to something eventful to happen.....
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Bander72 on April 09, 2017, 02:01:40 PM
Good question. My main plan was a generally agreed upon 'safe' plan: 5cm on tibias and 7 cm on femurs. That would put at about 188 cm, as tall as my brother. But I realised that that I would be spending a total of 1-2 years in either crutches or a wheelchair; it would just be far too long, not to mention the cost of internal femurs :-X. So I decided to push myself for that extra 3 cm and reach a respectable 184 cm and not go through such a long time of my life recovering. I was a gymnast throughout my schooling years, I'm very flexible for a guy so I was quite sure my body could take more than the average person


I do think flexibility helps tremendously.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Bander72 on April 09, 2017, 02:03:36 PM
Very true. One would have to deeply consider all the risks and potential benefits of the few cms of height before embarking on this journey

The sad truth is that the taller your initial height, the more your body can tolerate the lengthening without developing complications. So paradoxically, the shorter you are, the more you would 'need' the surgery, yet the harder it would be compared to a taller person. Sad, but that's the reality guys...

Very ironic but good for those with taller than average starting height.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Jumbo on April 09, 2017, 08:49:49 PM
Back to temporal factors, since I generally don't have much time (I'm hustling for online jobs currently) I won't be posting much of a diary.
As you are currently looking for online jobs, I am guessing you quit your job in order to do this surgery?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on May 05, 2017, 08:47:38 AM
This would be the conclusion to my story, though really it's just the last 70% of my lengthening journey compressed  down to a single post. I promised I would complete the diary so here it is, but understand that it's been months since that journey and let's just say I wasn't taking notes during the process.

So we ended previously with me in my room with all my groceries, a tv, some books, a smartphone and recommendations to make weekly visits to the doctor for X -rays. And really, that's all there was to it. The days would go by without much happening. For the 1st cm I lengthened at 1.0 mm a day, subsequently up to 8.0 cm I lengthened 1.5 to 2.0 mm a day. My bone regeneration was good and the doctor allowed it and so this is how we proceeded. Trust me, this phase could have been very painful for me and  very painful for you. But the absence of pain, complete physical isolation from the outside world (other than the weekly visits) and slow internet connection made this part of the process very unremarkable. I suppose the only thing worth mentioning was that I realised I had contractures after 5 cm. Contractures can be considered a minor complication or an obstacle, it took me about 6 weeks to completely remove them from my knee and I can only get past 90 degrees on my knee by less than 10 degrees

I stopped lengthening somewhere mid February, I think February 15. After that the doctor did correction in a span of 2 weeks. I had the nailing operation on the 1st of March. I was discharged about 5 days later.

I arrived home with anaemia, terrible knee and ankle contractures on both legs, numbness, being unable to move both my feet, muscle wastage from not walking at all for about 2 months; I was a sick, broken cripple. This was one of the lowest days cause I had to face my family in such a terrible condition. They knew about my decision and supported me through it but were definitely not expecting the poor state I was in. And so began the longest part of this process; consolidation and recovery. I underestimated how long this phase would take, and how much more difficult recovery would be compared to the lengthening, and I certainly hope no one else will. Trust me, it is gruelling fighting those contractures and gaining back the strength to walk.

2 months later in May, here we are -- the present day. Progress has been very well. I am able to move my legs and feet except for the some of the toes on my right. Contractures on the knee are gone, I need 5 more degrees to be within normal range. I have regained I think about 90% of feeling on my feet. But movements are still weak though and need to be strengthened. More importantly, I can walk with absolutely no support -- neither wheelchair nor crutches required. People don't notice anything when I walk cause I don't limp or have a foot drop or anything like. But still one thing will stick out from the muscle weakness; speed. I am walking at about half the speed of a normal person. To hide this in the uncommon circumstance where I have to walk with peers, I would ask my peers to slow down, fake a limp and say I had a knee injury playing sports. So other than that I find myself settling into normal life pretty well.

So now I'd like to include my thoughts on the height gain and whether or not I think it's worth it. I was 176 cm before and now 184 cm. I went from average to tall in my country, I think about only 10-15% are within my height range or taller. And damn, I have noticed girls, even the ones passing by on the street, seem to stare at me longer, they seem to pay more attention to me. I have a stable relationship so Ive been out of the game for quite a while, but I'd imagine it would be a lot easier with the new height. As to the situation with other men, I have noticed some men are actually a bit intimidated by the height, usually men 170 cm and below. I don't try to scare them or anything but I didn't notice I had this effect before. So usually I would hunch on to a table or something or sit down to equal the height . Frankly, adding 8 cm especially since I was average before is very noticeable, to myself and to others. Many people noticed my height gain, and trust me at this age there isn't much you can do you can convince them you grew that much. So to different people I would give different reasons, followed by a  diversion other topics. Hoping they won't notice. But trust me, it's not comfortable convincing people you know to ignore the elephant in the room; 8 CM IS IMPOSSIBLE TO HIDE.

Which  leads me to my current thoughts on whether it's worth doing this procedure. These views may or may not change in the future. Overall, definitely worth it doing LATN tibias. People are concerned about the permanent knee pain thing, a valid concern from what I've read from research journals. But in my opinion, it's better than staying upwards of a year in frames for 8 cm, not to mention the recovery time after that. Also, tibias can be done easily with external frames, a whole lot cheaper than internal femurs. Socially, I feel a whole lot more confident and I enjoy the attention I'm getting fbeing this tall. But do consider one thing, I was an average height man becoming a tall man. I understand many of you are/were sort and are aiming/aimed to be average. And so socially, the benefits are gonna be different and the changes you will feel will be different. And you must understand the unfortunate circumstance that it's harder for shorter people to undergo limb lengthening. So consider my advice, do research, read journals and all the best to you, comrades!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: doomsday on May 05, 2017, 10:15:35 AM
Great summary! can you post a photo of your scars?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on May 05, 2017, 11:34:08 AM

Why  you didn't  try to push it to 9 or 10?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Bander72 on May 05, 2017, 08:42:14 PM
He did a ridiculous amount at 8 cm yet you ask why he didn't push beyond that....
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Body Builder on May 05, 2017, 09:29:02 PM
Yunggud you know many people that did 10cm in tibias and are not got crippled?

And with an initial height of 1.76 8cm lengthening was an unnecessary risk but fortunately everything went well.

Sibirsky you should have better stayed at 6-6.5 cm to have more proportionate tibias and most of all to not change so much the biomechanics of your feet, as you already had a good initial height and you didn't need so much lengthening but congratulations for your smooth LL trip.

Keep strong!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: TrueSpartan on May 06, 2017, 04:13:06 AM
Your first surgery was Dec 29.

Its been 4 months, you lengthened 8cm and are walking without supports now.

I am sceptical of your story.

Can you please post an x ray or 2?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Knik on May 06, 2017, 10:44:17 AM
how much you paid for all ?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on May 06, 2017, 11:06:48 AM
Yunggud you know many people that did 10cm in tibias and are not got crippled?

And with an initial height of 1.76 8cm lengthening was an unnecessary risk but fortunately everything went well.

Sibirsky you should have better stayed at 6-6.5 cm to have more proportionate tibias and most of all to not change so much the biomechanics of your feet, as you already had a good initial height and you didn't need so much lengthening but congratulations for your smooth LL trip.

Keep strong!
He did a ridiculous amount at 8 cm yet you ask why he didn't push beyond that....
sorry ,i haven't noticed  that it was on his tibias,my bad
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Body Builder on May 06, 2017, 11:20:29 AM
sorry ,i haven't noticed  that it was on his tibias,my bad
Εven for femurs 10cm is way too much.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on May 06, 2017, 11:34:45 AM
Εven for femurs 10cm is way too much.
I think for my starting height 8 cm on femurs will be affordable  and within safe zone ,If  he did 8 cm on tibias with almost  same height as me
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Body Builder on May 06, 2017, 11:44:09 AM
I think for my starting height 8 cm on femurs will be affordable  and within safe zone ,If  he did 8 cm on tibias with almost  same height as me
Every body adapts different to lengthening. And 8cm in tibias is really too much, only 4 months after surgery is too soon to know the final outcome of the surgery.

For your starting height 7cm in femurs would be not very risky and will get you at 6.1 which is an excellent height.
Anything more is an exaggeration and in LL exaggerations leads to major problems.

Sorry for the offtopics I'm stopping it here.
Title: Now Entertaining Requests
Post by: Sibirsky on June 11, 2017, 10:09:50 AM
Since I have been given a generous 1-month paid leave from work, I would like to share my joy with the community (also cause I'm bored af). Status update: everything's cool, walking is great and I can now fully squat and go back to standing fully for like 5 times then rest. Still haven't tried running.

Hence during this time, I will be more free to post pics and X-Rays, maybe videos. I prefer uploading many pics in a single post as opposed to multiple posts, its better for readers too. So maybe after like 5-6 replies from the community, I'll post one big post or something like that. I understand some of you may be sceptical of my diary and may have specific requests. That's perfectly fine and now is your chance to ask. But be specific: I have many X-Rays: several taken during lengthening , correction, nailing and during recovery. So you can ask something like I.e X-ray at 5cm or X-ray at 1 month post nailing. There's too much to upload all so yeah, I'll be uploading as per request

Regarding the doctor, I have asked whether I can reveal his name and he's still thinking about it, so I'm not at liberty to disclose his name yet

Anyway, I do look forward to your requests. Cheers to all!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 11, 2017, 10:35:43 AM
So some scars pic:
https://imgur.com/a/ofrw5

1st one is the whole leg about 3 months post nailing. 2nd one is comparison between type of scar: the smaller one with 2 dots is for the screw for the intramedullary nail, the bigger deeper one is pinsite scar
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 13, 2017, 08:28:27 PM
So a member asked me these questions. I thought it would be great to share with everyone:

"hey man, you and I are the same in regards to height. I am not short, but almost everyone around me is taller.

1) Would you be willing to tell me more about how you feel the procedure has altered your personal health?

2) Do you feel complications in or out of sports?

3)Would you be willing to share your opinion on the recovery aspect?

I do not obsess over height anymore. The obsession was short lived, until I realized how hurtful a high level of stress is. I went brought severe depression so I know myself fairly well.

I hope you are ok with helping me further learn about this procedure, and possibly more about yourself/your journey."

1) In terms of my personal health, I'll try to answer holistically. So physically recovery I would say is going pretty well. Being able to walk completely normally in 2 months post-op is quite rare as I understand it so I am thankful for that. I think I can attribute this to daily physical therapy POST lengthening and nailing, much more than I did during lengthening to be honest. So I think people should emphasise post-nailing therapy.

Mentally however, I'm feeling quite mixed. Socially, I feel more confident with people, often I feel even dominant in conversations. But I feel less satisfied in terms of seeking goals and fulfilment. I simply have lost sight of alternative goals to strive for and be successful because for as long as I can remember, I've worked hard for this surgery, for this change. Now that I have achieved it, I'm in a difficult transition period. Yes, the physical recovery is demanding, but to me the mental demands of moving forward is much more difficult. I'm still looking for motivation to work hard for, because now I feel very unproductive.

2) I can't really comment on sports yet because I can't run yet. But I will get back to you on this in 2 months. Right now it's to early rto comment.

3) Already answered in 1)


Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on June 14, 2017, 05:27:16 PM
Do you feel  tall enough at your present height?
Do you planning any additional   operation in a nearest future ?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 15, 2017, 09:34:51 AM
Do you feel  tall enough at your present height?
Do you planning any additional   operation in a nearest future ?

I feel tall enough actually. I fit quite well in terms of height within my circle of family and friends now. So in my country where the average is about 175 cm, I feel tall enough

You might think this will make me not even think about doing a second surgery for femurs. However, as contradictory as it may seem to what I've just said, there is a chance I will. This is because I am afraid of looking obviously disproportionate, with long tibias and short femurs. Some people have noticed this and have commented but do not suspect surgery. But if too many people in the future notice this, even after I have added bulk to my calves post-recovery, I might have to equalise the gains in both femurs and tibias. In relation to other body parts, additional femur lengthening might not cause too much of a problem. My arm spam is 185 cm, sitting height at least 91 cm because I measured when my back was tight and I hunched forward so bad posture.

But as of now, I think the chances of me doing the femurs is only around 10%, mainly because internals are expensive and may distort my leg alignment as well as the fact that I'm already happy in terms of height. In the unlikely case I do decide on femur lengthening, I'll be aiming to reach 190 cm because it wouldn't be worth the high cost and recovery time for less than that 190 cm. Trust me, I don't mean to ruffle anyone's feathers with these answers, it's my honest opinion, though I do appreciate constructive feedback and criticism from everyone
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Peaceout on June 15, 2017, 05:26:41 PM
Thanks for the diary.
+1 for pictures :)
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Body Builder on June 15, 2017, 07:19:44 PM
Doing LL at your current height is insane and it will cause you only problems.
Even your proportions won't look better as your feet would look insanely tall, especially if you lengthen more than 3-4cm in femurs as you said.
And of course it doesn't worth the plenty of money you'll spend as for femurs the only real way of LL is pure internals.

So think more wisely and don't risk for nothing.
Good luck with your consolidation!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 18, 2017, 06:49:26 PM
Pic at 184 cm:

https://imgur.com/a/QW4eW

I think I look proportional from this angle, but I'm not sure. My shorts end right in between my femurs and tibias on the knees
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on June 18, 2017, 07:58:30 PM
Pic at 184 cm:

https://imgur.com/a/QW4eW

I think I look proportional from this angle, but I'm not sure. My shorts end right in between my femurs and tibias on the knees
From my sight,you look proportional
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on June 20, 2017, 01:24:09 PM
How do you feel right now compared  to your pre-op conditions?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 26, 2017, 12:16:05 PM
How do you feel right now compared  to your pre-op conditions?

I feel great actually. I no longer get Morning stiffness on my ankles at all. My ankle muscles are about the same size as they were pre op but quads need a lot of work
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: YungGud on June 26, 2017, 01:07:29 PM
I feel great actually. I no longer get Morning stiffness on my ankles at all. My ankle muscles are about the same size as they were pre op but quads need a lot of work
That's great!congratulations
I was just scared if ur never gonna be the same as preLL conditions like crippled till the rest of your life but your experience show as that everything depends
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 26, 2017, 05:30:12 PM
"it really that risky to target 8cm?"
Unlike most members here who feel the safe limit is a fixed number of cm i.e. 5cm, 6cm, my thoughts based on medical studies and consulting with orthopaedics are that the safe limit is defined by percentages. In short, less than 10% increase lengthening of an initial bone length is low risk, 10-20% is medium risk (minor complications like contractures, small ballerina) and more than 20% is high risk (severe ballerina, non-union). And in general, you risk screwing up proportions going over 20%

So for example, a person with an initial 40 cm tibia length can go up to 8 cm and be in the medium risk category (which is what I did. And since on average tibias are 0.8 of the length of femurs, one can safely assume you can push femur lengthening further

"I read your diary and it's quite amazing"
Thank you! I do try to keep it as interesting, consise yet informative as possible
"it seems to me that you spent very minimal time on everything (lengthening, consolidating and walking normally) and I'm still wondering how you accomplished all that with a really short time but good job on you brother!"
Thanks! Honestly, neither do I. My orthopaedic surgeon specialised in leg correction but not cosmetic limb lengthening. He allowed me to go up to 2.0 mm a day which was undoubtedly unsafe, but hey everything turned out fine.

However, going up to 2.0 mm a day is actually done but not for very long periods. Consolidation tends to be poor if lengthening is done this fast. But since I went for LATN and not externals, this is less of a problem

"my question since you did LATN is can you work out with weights while still having nails inside your legs?"
Yes. You need to have an orthopaedic surgeon in your home country with whom you can do X-Rays and consult with in order to determine to what degree your bones can handle weight bearing.

However, one must come to realise the intramedullary nail is not the same as internal lengthening rods. The former has been perfected over decades of development and is geared solely to provide support and allow early weight bearing not just for LATN but for many other non-cosmetic treatment like fractures. The latter is still relatively new technology and has to accommodate lengthening capabilities and support. Hence, the support capabilities of nails used in LATN is much better than that of internal lengthening nails. That's why weight bearing and walking, in some cases, can be achieved much faster in LATN than internal lengthening.


"I believe you also want to bulk up your legs as you said in your diary because I'm sure it's really skinny after LL, how soon can you do it? and isnt it dangerous?"
Again, that's why you need to keep seeing an orthopaedist in your home country to give you a definitive and medically-sound green light on what you can do and what you shouldn't. This and of course physiotherapy. In my case, immediately after nailing I was allowed todo leg presses and after I could walk( 2-months post nailing) pretty much I'm allowed anything even running except contact sports

It's a long journey, but I wish you then best in your future endeavours!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: doomsday on June 26, 2017, 06:11:10 PM
Sibirsky have you got any xrays?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Bron on June 26, 2017, 06:39:14 PM
Sibirsky,

I have read it, thanks for your answers!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 27, 2017, 12:47:25 AM
Sibirsky have you got any xrays?

Yes I do but you need to be specific what kind of X-Rays you want. Too many for me to post at random so I prefer uploading based on request
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 27, 2017, 12:48:09 AM
Sibirsky,

I have read it, thanks for your answers!

You're welcome! Glad to be of help
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 30, 2017, 07:02:32 PM
Hey guys I have some X-rays you may be interested in. Here's my X-rays taken when I was having correction done just before nailing

https://imgur.com/a/IonoC
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on June 30, 2017, 07:07:32 PM
....and here are X-rays taken post nailing. This angle should be able to reveal certain things you may want to consider.

https://imgur.com/a/Ablts

Firstly the nail is intentionally sticking out of the bone. This is to allow removal later on, though it makes kneeling uncomfortable at times but not downright painful. Secondly there are multiple screws that are keeping the nail in place. These nails are quite large and can actually be felt on the surface through the skin, but only the screw head not sharp pin part. They also don't hurt unless you hit them against something like a car dashboard (which I have several times). Then they'll hurt like a muthafuka  ;D

Feel free to post questions and requests!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: doomsday on June 30, 2017, 07:54:28 PM
good consolidation for tibias but yeah quite unusual for the nail to stick out. I guess it makes no difference  as long as you dont hit that sticking out part. Did you get any recent xray to see progressing consolidation ?

edit

The doc knew his stuff. You had the hexapod frame , the same used by Dr daghoon Lee.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on July 01, 2017, 04:22:43 AM
good consolidation for tibias but yeah quite unusual for the nail to stick out. I guess it makes no difference  as long as you dont hit that sticking out part. Did you get any recent xray to see progressing consolidation ?

edit

The doc knew his stuff. You had the hexapod frame , the same used by Dr daghoon Lee.

Yeah sure I'll try to post them because now I only have them in film and not digital. I'll try to get a digital copy of Incan

Yup it's true that he wasn't a cosmetic limb lengthening doctor, but he sure wasn't some quack either
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on July 10, 2017, 06:33:33 PM
Hey guys just a short progress report. I realise I am now able to do squats for about like 10 times straight before feeling tired. Also I have regained that torque needs to initiate jogging but my muscle strength has yet to allow me to run or jog normally

Cheers!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on July 10, 2017, 06:52:24 PM
Message from a member:

"hey there sibirsky
how are you doing with your progress?"
-I'm doing fine  8) thanks!

"Im looking for some words of advice,...
from reading here and there on this forum, i gather that the more popular or reasonable way to lenghten (if youre into getting it done in 1 surgery), is to do Femur lengthening.
I know you chose to do tibia.

thus I have few questions in mind -
1- This may be totally misperception of mine, but i feel like femur lenghtening is actually more complicated, its a bone deeper within tissues of the leg. and biomechanically speaking, it feels to me as if a change of this portion of the leg (femur) makes much more of a mess to the funcion of walking, running etc. again, im no orthopedic surgeon nor that anatomy expert, but thats my impression.
-why did u choose to do tibia?"

-2 reasons: It's (WAY!)cheaper(or way less painful in the case of external femurs) and using externals allow correction. Choosing internal femurs may not allow to have precise correction because we'd need a hexapod for that. However I do understand that for the knee joints is better to do femurs if you need hugher lengthening  though I can't be absolutely sure about this. What i am absolutely sure about is that the ideal tibia:femur ratio is 0.8 and so for the best results one should measure ones legs via x-rays and only then see which limb would be the best to be lengthen so that there is the least deviation from this ratio. The tibias should best not exceed the size of the femurs post lengthening

"2- I just happen to see on Youtube a video of a kid underwent tibia lenghtening by dr. mahboubian, and his walking post op (few months) seems totally normal. to be honest that made me thrilled and totally made me rethink about tibia as an option..."

-Not to burst your bubble or anything but children's bones are very different from adults. Less weight bearing is needed and the bones are thinner and more malleable. Hence the time needed to wear ex-fix is much lesser. However it's not recommended kids use IM nail because it could injure  growth plates so there's that..

3- "whats your take about surgeons who dont do this ll as cosmetic surgery routinely?
and about the 'less advanced' techniqes regarding this operation and its advantages / disadvantages...."

-So firstly we must first understand what counts as a limb deformity? It could be angulation (bow legs/knock knees) it could be translation issues, but most importantly in our case, a deformity can be a limb length discreapancy where one leg is longer than the other. So by default surgeons who specialise in this field are adequately trained on how to lengthen limbs and equalise them. The should be well-trained in carrying out osteotomies . But what differs in cosmetic cases is the amount that a patient wants to lengthened (which is not fixed unlike deformity cases where the lengths need equalising) and the ethical dilemma of it: is it morally correct to break a perfectly healthy persons legs in order to solely bring about a cosmetic benefit, perfectly knowing athletically the patient may not reach pre-surgery levels of fitness?

So in essence I think that an orthopaedic surgeon that is qualified in the aforementioned types of deformity correction procedures can commit to the patient and accept the consequences from a moral standpoint, it should be fine

As for technology...I can't really comment too much. From what I understand generally, more advanced=more expensive=more comfort + faster recovery


"Hope for your speedy recovery"
-Thanks man! All the best to you too ;)
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Mikayyy on July 11, 2017, 02:17:29 AM
Hey, I was just wondering how long did it take you to walk on crutches after nailing? I heard it hurts a lot that you technically can be using them but they might cause damage until a certain time has passed. What was your experience with nailing like?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on July 11, 2017, 11:12:56 AM
Hey, I was just wondering how long did it take you to walk on crutches after nailing? I heard it hurts a lot that you technically can be using them but they might cause damage until a certain time has passed. What was your experience with nailing like?

1 month after nailing I started using a walker. About a week later I was strong enough for crutches and like about less than 3 weeks later  I was already walking without support. So yeah I progressed quickly.

Nailing is fine in my case so far. I mean it's been really well I honestly have no idea why anyone would prefer externals other than cost factors. But that's just my case; there might be some bad experiences with LATN so I can't guarantee a great outcome
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: limby101 on July 11, 2017, 01:06:27 PM
hey
thanks for your sharing of your experience, its helpful.

about LATN vs LON:
you wrote ... "Discussed about benefits of LON( cheaper, 1 major surgery + 1 minor frame removal surgery, no corrections possible at all) vs LATN (more expensive, 2 major surgeries, correction can be done before nailing) Eventually I settled for LATN and the surgery was scheduled a week later.

From what ive read, I couldnt find an explanation for the LATN being superior (and hence why is it more expensive). Ive read (correct me if im wrong) that LON allows your consolidation time to be shorter. add this to making it a "1 major surgery" vs. 2 (LATN) , im trying to find the reason to choose LATN.
if its the corrections before nailing thing, well could u elaborate on that?  what and how the surgeon correct exactly? how often is correcting needed?  did u have any corrections before nailing?

Thanks!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: limby101 on July 11, 2017, 01:36:49 PM
and another thing, about the scars. do they bother you?
I suppose theyre not going away, but to what extent they will be fading out?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on July 11, 2017, 01:37:32 PM
hey
thanks for your sharing of your experience, its helpful.

about LATN vs LON:
you wrote ... "Discussed about benefits of LON( cheaper, 1 major surgery + 1 minor frame removal surgery, no corrections possible at all) vs LATN (more expensive, 2 major surgeries, correction can be done before nailing) Eventually I settled for LATN and the surgery was scheduled a week later.

From what ive read, I couldnt find an explanation for the LATN being superior (and hence why is it more expensive). Ive read (correct me if im wrong) that LON allows your consolidation time to be shorter. add this to making it a "1 major surgery" vs. 2 (LATN) , im trying to find the reason to choose LATN.
if its the corrections before nailing thing, well could u elaborate on that?  what and how the surgeon correct exactly? how often is correcting needed?  did u have any corrections before nailing?

Thanks!

Hi man I think Doctor Donghoon Lee makes a very good comparison between LATN and LON. You can read his comparison here: http://www.drdonghoon.com/index.php/archives/2414

I chose LATN because I could tell from the consultation my surgeon preferred LATN (maybe because it's more common in Russia) and because of the deformity correction thing.

So a corrections are done based on measuring struts on the hexapods and making a comparison with the patients x-ray or CT scan. The scans reveal inequality between both sides, if any, and the struts are then adjusted by either tightening or widening the struts to bring about change in the kind shape. Correction takes about 2-3 weeks and in my case the doctor did daily adjustments to the struts to get the best correction

It's very confusing to understand this but here's a video by Dr Parihar about this: https://youtu.be/om8da13dLnU (https://youtu.be/om8da13dLnU). You don't have to watch his full lecture just maybe the first 5 minutes to get the picture

So why may correction be needed? Well when you are lengthening, you may inadvertently lengthen 1 side more than the other, which makes 1 limb longer than the other. Further still, you might lengthen 1 strut on the exfix more than the others and this could cause it to angulate and not be straight. Doing correction after lengthening counters these inaccuracies which is why it's very beneficial.

So why can't we do it in LON? It's because the nail inhibits completely free movement of the bone and hexapod which is why you may want to install the nail after lengthening (as in LATN) instead of before

Hope this helps!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirsky on July 11, 2017, 01:44:08 PM
and another thing, about the scars. do they bother you?
I suppose theyre not going away, but to what extent they will be fading out?

They don't bother me too much cause I don't wear shorts outside the house too often. Yeah they are fading out gradually, but they are becoming more even in terms of contour quite quickly. I wear moisturiser daily.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Mikayyy on July 11, 2017, 03:45:08 PM
Thanks for your reply man. So for me to fully understand, you were using a walker for the first month right after the nailing?? I read that it takes about a week to 10 days to use crutches. did if have anything to do with your ballerina or complications?? I'm heavily leaning towards latn.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirskiy on September 24, 2017, 08:17:02 PM
    .
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: runaway on October 07, 2017, 09:53:19 AM
你好,我27岁,164CM。我想做断骨增高。想咨询以下一些问题,麻烦你帮帮我。另外,我164CM想长到175CM就可以了。虽然不能保证,但是我有点担心你们的钉锤打下去,会不会把骨头打成裂纹,然后骨头就竖着的方向裂开,我很害怕。听说还有骨头连不起来的问题,很担心。我27岁了,你觉得还有可能长高的空间吗?
1、手术是在哪个国家或者城市做靠谱?
2、手术费用是多少呢?包括后期调理的补品一共需要多少钱?
3、真的有残疾或者死亡的风险吗?我担心的是骨头连不上的问题等,想咨询一下您,希望你能帮帮我。谢谢你!
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: myloginacct on November 16, 2017, 07:39:49 PM
Hey man, no questions - I just hope you have been doing better with the depression you mentioned in another thread.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: normythebear on December 05, 2017, 05:37:50 AM

From what ive read, I couldnt find an explanation for the LATN being superior (and hence why is it more expensive).

I don't think it is more expensive because it is considered "superior". It is more expensive because it requires the patient to undergo general anesthesia and requires an entire surgical team twice prior to consolidation as opposed to LON requiring it only once. I'm currently undergoing LON because it seems to be favored in this part of the world, and I prefer to go with whichever the doctor has the most experience.
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Astronomy on March 19, 2019, 07:32:32 AM
你好,我27岁,164CM。我想做断骨增高。想咨询以下一些问题,麻烦你帮帮我。另外,我164CM想长到175CM就可以了。虽然不能保证,但是我有点担心你们的钉锤打下去,会不会把骨头打成裂纹,然后骨头就竖着的方向裂开,我很害怕。听说还有骨头连不起来的问题,很担心。我27岁了,你觉得还有可能长高的空间吗?
1、手术是在哪个国家或者城市做靠谱?
2、手术费用是多少呢?包括后期调理的补品一共需要多少钱?
3、真的有残疾或者死亡的风险吗?我担心的是骨头连不上的问题等,想咨询一下您,希望你能帮帮我。谢谢你!
哈哈怎么可能啊,你的骨头没你想象得那么脆弱,不过这是髓内针一代,二代就不是这样打下去植入的了。骨不连是有可能但是好的医生会很好地避免骨不连。还有27岁不可能长了,这哪怕是70 80年代都不能。175完全可以,就是必须大小腿,光小腿或者大腿是找死。
小腿我建议外架,这样的话越南老挝就不错,去欧美国家更好但是太贵了。大腿我建议内置,我建议你去欧美国家,穷的也要坚持去印度(这是最差的选择),千万别去做外架大腿,不然会苦一辈子的!
小腿你要准备14 15w,大腿你要准备50w+了,加上后期补品也差不多这个钱,这个手术主要是手术费和住院费费钱。
残疾除非你不听医生建议,多做了,是会残疾,那也怪不得医生的。死亡是扯淡,我是没见过有人做过这个死了。
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Big Decision on March 24, 2019, 01:37:51 PM
Hi Sibirsky,

It's been a while,  I hope I can hear from you,

A bit about me,   I have done my LATN surgery on my tibia,  I'm now
One week post up nailing.

This week has been the hardest,  I couldn't walk during lengthening at all duo to knee contractions,.

Now, one week post up nailing,  my feet are totally numb,  I don't feel my right foot at all,  it's like piece of meat hanging from my knee,  it makes me really worry.

Another thing is edema,  my feet are still super swollen.

And finally my knee contractions are really bad.

In results of all this I'm falling into really bad depression..

Can you please let me know how did it go for you?  How long did it take for you to get life back to your feet?

By the way,  did u get Russian nail?
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Astronomy on March 26, 2019, 08:18:52 AM
Now,two years.
Do you feel having recovered fully?What about your kinetism?
Title: Re: I did 8.0 cm LATN on tibias in 2016: 4 year Long-Term Update
Post by: Sibirskiy on March 26, 2020, 05:07:45 AM
Hello everyone. Its been a while. I'll be posting a major update on my progress soon. Its been 4 years and I'm sure many of you are keen to know the long term effects of LL. Although I can't give any definitive conclusions to this question, I can at least speak from my experience. Please post any questions you may have here and I will answer them. I will NOT be answering basic questions i.e. how long did you lengthen? Where did you lengthen etc, unfortunately. Such answers can be found in this diary, so no point in repeating them.

https://imgur.com/a/SL8yWro

Audio logs: http://www.limblengtheningforum.com/index.php?topic=4859.0

I look forward to your questions,

Sincerely, Sibirskiy
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: infinity&beyond on March 26, 2020, 05:52:01 AM
Holy   that photo is of your legs right now? Those scars are horrendous
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Sibirskiy on March 26, 2020, 05:55:54 AM
Haha camera contrast might have been high. But yea scarring is worsenthan the average patient. They dont bother me much thoug, rarely someone notices to which I reply, " Accident", and we leave it at that
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Movie on September 17, 2020, 07:07:17 AM
Hey bro would love to see your running videos at almost 4 years post op. Please share , thank you
Title: Re: I did 8.0 cm LATN on tibias in 2016......AM(a)A : Ask Me (almost) Anything
Post by: Body Builder on September 17, 2020, 01:03:55 PM
Hi dude.
From your experience, how much athletic loss do you think you lost? 4 years is a respectable time to have a full consolidation so I would like to know what is your condition now.

We lengthened about the same (I did 7,5 cm) and if haven't done 2 surgeries on my achilles tendons (a lengthening that was a very bad decision of my then doctor and a correction with a very good doctor that almost gave me back my full strength) I think I could have reached something close to 90% while now I am about 80-82%.
What do you think about your condition?

Also, about the scars, you can do a cosmetic surgery to make them less visible, but I never cared about all these things. After all, scars are sexy on men..hahaha.

Be strong!